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International Commission on Radiological Protection each country interprets (UK VERY STRICT) |
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radiographs CT (computed tomography) Fluoroscopy Scintigraphy |
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Gy: absorbed dose (what causes ill effects) defined as the absorption of one joule of radiation energy per one kilogram of matter. |
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SV: quality factor one sievert is generally defined as the amount of radiation roughly equivalent in biological effectiveness to one gray (or 100 rads) of gamma radiation |
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Amount of Gy and Sv in radiation |
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x-Rays: 1 Gy, 1 Sv Beta: 1 Gy, 1 Sv Neutrons: 1 Gy, 10 Sv Alpha: 1 Gy, 20 Sv |
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Lateral Throacic Rad: 0.2 Gy Atom Bomb: 4.5 Gy |
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Stochastic vs. Non-Stochastic |
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by chance vs. dose dependent effects |
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"general effects" cataracts, skin burns, scarring, carcinogenic |
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"biological effects" effects on descendants of exposed individuals due to mutation of genetic material |
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emitted by electrons, longer wavelengths, lower frequencies, and lower energy than GAMMA rays |
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emitted from NUCLEUS, shorter wavelengths, higher frequencies, higher energy |
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Cathode: high speed electrons in vacuum Anode: abruptly stopped, x-rays emmited transformers: needed to make voltage |
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needs to have high melting point. high atomic # defined as Z TUNGSTEN |
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kilovolts potential difference between anode and cathode controlled by radiographer POWER/PENETRATION changes quality |
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milliamperes # of electrons passing from cathode to anode (current) leads to # of rays emitted controlledby radiographer changes quality |
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seconds time of exposure controlled by radiographer |
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milliamperes/second # of rays/time governs amount of rays reaching the film |
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Interaction of rays and subject |
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Transmission: passes through Attenuation: gradual loss of intensity while passing through |
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Photoelectric effect (absorption based on Z of subject) Compton Effect (scattering based on density of subject and kV of rays) |
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air: black - most passes through fat: dark grey soft tissue: soft grey bone: white lead: bright white - least passes through |
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scatter goes in all direction decreases with distance (inverse square law) Grids (stationary, parallel, focussed, Potter-Bucky) CAN CAUSE NON-SPECIFIC GREYING OF FILM |
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FILM not sensitive to x-rays. need INTENSIFYING SCREENS (give off light when hit by x-ray) DIGITAL done by computed or direct counts |
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control area within 2m of tube if manual restraint necessary: gloves, gowns, thyroid shield, glasses, and film badge room: 1mm lead shielding or equivalent |
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(visibility of details) controlled by mAs mAs too low (underexposure) results in a pale film mAs too high (overexposure) results in a dark film |
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(difference in blackness) kV: low kV gives high contrast mAs: low mAs gives low contrast |
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kV too low (not enough power to get to plate) mAs too low (not enough rays/time to get to plate) |
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kV too high (too much power) |
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blurring at the edge of an object on film (due to rays not all being from same point) OFD (object to film distance) decrease FFD (focus to film distance) increase |
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Nomeclature of radiographs |
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DIRECTION where beam ENTERS and EXITS VD 20 degrees RCd: beam goes ventral to dorsal offset by 20 degrees rostral to caudal |
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Lat, VD, DV for thorax, abd, skull Lat, CrCd - limbs |
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FML used in equine rads DLPMO - dorsal lateral to palmar/plantar medial oblique DMPLO - dorsal medial to palmar/plantar lateral oblique |
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tibia-tarsal bones Spavin (DJD) |
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meta carpo/tasro - phalangeal joints Chips DJD Sesamoiditis |
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